Individual
YAN GAO FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
481 EDWARD H ROSS DRIVE, ELMWOOD PARK, NJ 07407
(800) 627-1479
Mailing address
481 EDWARD H ROSS DRIVE, ELMWOOD PARK, NJ 07407
(800) 627-1479
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
040589
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01096552A
IN
Other
Enumeration date
05/23/2007
Last updated
05/16/2025
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